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06-0903 (RPL)l P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00000903 Property Address: 52274 SHINING STAR LN APN: 767-200-999-50 -312022- Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 25862 4 BUILDING & SAFETY *DEPARTMENT BUILDING PERMIT Owner: 52 D " MAR 08 2006Co SHINING STAR LANE NTA, CA 92253 77-9920 Applicant: Architect or- Engineer: � TBBLE SPRINGS 1046 CHOrMIRAGE, CA 92270. , -2336 Lic.' No.: 728796 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with _ Section 700) of Division 3 of the Busines nd Profes�ionls Code, and, my License is in full force and effect. /License. last: Q53 -C35' en eeNo.: 728796 r/ Date �� Contractor:`' OWNER-BUILDER DECLARATION ' I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to - construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: - 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the struct6re is not intended or offered for sale (Sec. 7044, Business and Professions Code: The- . - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, - and who does the work himself or herself through his or her own employees, provided that the _ _ - improvements are not intended or offered for sale. If, however, the building or improvement is sold within. one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' -State License Law does riot apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed pursuant to the Contractors' State License Law.). ( _•1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/06/06 _ WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor, Code, for the performance of the work for which this permit is issued. ['have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My.workers' compensation insurance carrier and policy number are: ' Carrier STATE FUND Policy Number 168541205 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I sho I"ecome subject to the workers' compensation. provisions of Section 00 of the Labor C dej, f' shall forthw' h comply with those provisions. Date: / Applican �L ��6� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000).- IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abo a information is correct. I agree to comply with all city and cou y rdinances and state laws relating to build' onstruction, and r by gaunt/priizze_representatives of this c ,iy,/!/enter upon the above-mentioned prop or inspection p i%',' Date/ l7 (j/ Signature (Applicant or Agenil: L c' Application Number 06-00000903 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 258.50 Plan Check Fee 168.03 Issue Date . . . . Valuation . . . . 25862 Expiration Date 9/02/06 Qty Unit Charge. Per Extension -- BASE FEE 252.00 1.00 6.5000 THOU BLDG 25,001-50,000 ----------------------------------------------------------------------------- 6.50 Permit . . . MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee .. 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/02/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K --------------- --------------- =•=-------------------------------------------- 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . 45.00• Plan Check Fee 3.75 Issue Date . . . . Valuation . . . . 0 .Expiration Date 9/02/06 Qty Unit Charge Per Extension BASE•.FEE 15.00 1.00 30.0000_ -EA ELEC PRIVATE SWIMMING POOL ---------------------------------------------------------------- 30.00 ------------ Permit . . . PLUMBING Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . 0 Expiration -Date 9/02/06 Qty Unit Charge Per Extension BASE ,FEE ` 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLB WATER INST/ALT/REP- 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments POOL & SPA ONLY. ALARMS/BARRIERS SHALL LQPERMrr Application Number . . . . . 06-00000903 ------------ ---------------------------------------------------------------- Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due ----- - - - - ------ - - - - -- Permit,Fee Total 362.50 .00 .00 362.50 Plan Check Total 186.53 .00 .00 186.53 Grand Total 549.03 .00 00 549.03 LQPERMIT Mortimore Residence Rancho Santana La Quinta, Ca 92253 -714.317.6641 **Specifications** POOL - 33' x 11.5' Swim Out with Umbrella Sleeve - — - -- Cocoa Flats on Swim Out Area - 280 sq.ft. Per - 85' SPA - 8' x 8' +18" with Cocoa Flat Spillway Area - 50 sq.ft. Per - 25' DECK - Color and Finish to be Selected rv� Mist and fog System` Waterfall - _ 8'x 5' +36" Cocoa Flat Waterfall CITY OF Uk 'baab BUILDING & SAFF-i APPROlfE FOR CONSTRUCTION DATE—3 LLO BY ?C,5- V Scale: 1/8 in. per ft.